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Organization
RONALD L. CLARKE, MD, LLC
Active
Organization
RONALD L. CLARKE, MD, LLC
Active
Parent organization
RONALD L. CLARKE, MD, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RONALD L. CLARKE, MD, LLC
Authorized official
KIMBERLEE SCHLIMGEN (OFFICE MANAGER)
(503) 657-7629
Entity
Organization
Contact information
Practice address
14279 S GLEN OAKS RD, OREGON CITY, OR 97045-8008
(503) 657-7629
Mailing address
14279 S GLEN OAKS RD, OREGON CITY, OR 97045-8008
(503) 657-7629
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16593
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009196
—
OR
Enumeration date
07/05/2016
Last updated
07/05/2016
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